HomeMy WebLinkAboutPermit Building 1990-2-2
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APPLICAT.PERMIT
225 North 5th Street
Springfield, Oregon 97477
Building, Division
726-3753
;J,. etJ 'C 1/
Job Location:
'X9'J
Loc..l1.. iH"/ 4//-e;v1.< "L.
ASGssoor" Map # AI 11- ,Tsz Lot # .N 4
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Q.mer: L-<7c..hllf//.,.A..I
P/9-V+P-t:.n:S
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Pr.one: t.8 't ~ '7/<J3
Addreos: lit; "'r ,.;. 'T'"eYLfV.,
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Ci ty: F'-"-'f f: }U t;,;'
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n Addition
n Remodel
n
rnobr4. !J.o--e
,WI '"'p
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" < r 0 -?cn-4:, $<<-
:.fobile Homo
Zip:
Q7'-/:O)--
Describe fl'ol"k:
ag .K'-f~.If IX)
p/p./.. P I~ 4 ~ ~40{) - __
:,fz~e ,;( 3. I SD~
Date of Applicati.on . ",
Contractors Address ' -Lise. II
: General t=:/UJl~ '/:. ~"''''':, ~<;'1o ML>r-<!.t:J ~ hd
i Plumbing e.""I'<</,"'" Of w~JD""" "
Il1echanical "I LLA1,/' ,-""",-/- d
, I El,ectrical /2.4/#), I?~ g sS- w~ ~~".
I Suoerv;:'Sing Electr;ician ~,~~
-,.",-
~ Reee:.~ ,#
r ~L.J<t{
JV
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Date:
Exoires
":;-;)..-70
Bldrs Board Re~.
, tJ./IJt;7
.V_/"'7 oJ '...c,.....'f
Pl,onp
tM- Ji,8W
7<.f.7-:J..C:-OO
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It is the ,.ssponoibil.ity of tM psrmit holdsr fA:) S8S that all inDpect1.ons are made at the pr~per timc~ tr.at each ~BBS is readabte
ftom ths strBst, and that the permit caPd is located at the f1'01lt of the property.
ABuilding [}1;vicior. appro1.,'"d pt.an. s,hal.l. remain on th8 Building sits at aU times.
PROCEDURE FOR INSPECTION RE..QUSST:CALL 726-3769 (recorder) state your City designated job nw::ber, job address, type of inspec~icn
l"aquestcd ar.d 1J1:;m you win be ready for inspection., Contractors or Owners name and phone number. Requests received befere 7: 00 c;:'l
L.'ilZ. be made th€ same daY.,. requests made a~ter 7~OO am witt be 11rUle the next :.x>rking day. - 8
' Jour City Deoigr.ated Job Nwnb.r Is: qm \ d
J?nm,J..':":"~-1 r'l'l~1(~(!ti.tmn
0' SITE INSPECTION: To be nr:uie after
e:::cavation., but prior to set up of
.forms.
D :' UNDERSLAB PLUMBING, ELECTRICAL &
. MECHANICAL: To be made before any
. UJOrk is ~ovcred.
r-1 ~ING & FOUNDATION: ' T~ be "",de
lJ::::f ~ft~ trenches are excavated and
forms are erected., but prior to
pouring concrsto. . .
r--1AlNDERGROUND PLUMBING. SEWER. .W,iTER,
L.if' DRAINAGE: To be lTWie prior to fiL-
.l.ir.g trenchss.
D,' UNDERFWOR PLUMBING & MECHANICAL:
, To be made prior to inotaUat1.on of
, . [1.001' insulation or decking.
D POST AND BEAM: To be made prior to
instalLation of f1-oor insulation 01'
,deokiru;;.
O RDUGH PLUMBING. ET.ECTRTt;Af, & MFjCH__
ANICAL: No work is to be covered
~ur.til those inspections have beer.
made and 'approved. .
D FIREPLACE: Prior to, pZacir.g facing
materials and before framing inspec-
tion.
D FRANING: Must be requsDted after
approval of rough plwr.bing.J electri-
.cal & mechanical. All roofing
bracing t chimncys.J et~. l1T'.lst be
).completcd. No lJOrk is to be con-
,....'.cealed until thiD inspection has
.~.be~? made and apprqved.
O INSULATION/VAPOR BARRIER INSPECTION:
To be mde after all wul.::tion CIY'.d
'. required vapor barriers are in place
.: but before any l.ath.J gypswn board or .
. \ lJall. covering is appZied.J and before
.. '. ~f11!Y insulation is concealed.
'0 DRYWALL INSPECTION: Te be made
after all drywall is in place.J
, but prior to any taping.
O MASONRY: , Steel location.J bond
. beams.J grou ting or vertica ls in
accordance IJith U. B. C. Section
2415.
D WOODSTOVE: After inataUation is
ccmpleted. .
O CURB & APPROACH APRON: After' forms
are oreated but prior to pouring
.:; . aonorete.
, ~ MtiSWALK & DRIVEWAJ: For aU eon-
~ crete paving LJithin street right-
. pf-r.x:y.J to be made after all. e:::ca-
. vating complete & form IJOrk & cub-
. base material in pla.ae.
O PENCE: When compl~te -- Provide-
gates 01' movable sections through
P.U.E. '
g~~-3 -
::2 0- 2. iOcJ '~t'7
DEMOLITION OR :'.,'OVED BUILDINCS
=:J" Sani~ setJer aapped at- p~opt;rty line
:J S8pt~ tank rr...urrped and fille~ with gra~el
I Final - fVhen above item.3 are ccmpletcd
~ ar~ when demolition is complete or stru~-
tta'e moved and pr~8es c:leaned up.
Mobile Hcmes
~Ocking and Sat-up
~ing connections -- saJer and water
~ Electrical Connection - Blocking.J set-up
---IJ....wuL plumbing conr.ections rrr...st ce approved
. b~fore requesting electrical inspection
~ Acaessol".:i Bui lding
I F-~l - Aftar p:Jrches.J skirting, decks.J
~c. aPe completed.
D
All project conditionB.J Duch aO the instaLlation of street trees, c~~ZctioTl of tns
required Zandscapir.g.J etc..J must be satisfied before the BUILDING FINAL can be requested.
o FIliAL PLUMBIIIG
o FINAL MECRANICAL
10 FINAL ELECTRICAL
D
.0'
FINAL BUILDING: The Final Building Inspection must be requested after the Final Plwnbina
Electrical.J and Mechar.ical Inspectiono hava been made and approved.
>tALL MANHOLES AND CLEANOUTS MUST BE ACCESSIBLE.J ADJUST/JENT,!O B_E /.0DE AT NO COST TO CITY I Page 1 of 2
I JOB
IZone:
Lot Sq. Ft{;.
S of Zot Caverag~
II of Storoies
Total Height
L-COG~
NO. q(),)l~q SOLAR ACCES.S REQ.-
Occuvanc.li G~
LOT TYPE
Interior
Corner
Panhandle
CuZ-de-sac
Topogl'<lphy
I
I ITEM SQ. FTG
lmrn-- vn H
I Garaae
I Caroo1"t
I Acce88or~
t TOTA& VAWE
S.D.C. ~:J: """uo)
Building Permit
State Surcharge
Total Cha:ogsa
lITEM I NO. I
/rd_n rn N
I Residenti4l (1 bath)
I ::i:7 Sewer I
t\C'Q JY\ _I
PZumbing Pern:i t
State Surcr.a.rge
Total Charoces
I ITEM l ~O'I
I n..~. B~ f4;~. ffi---t\
I NtJIJ/Extend Circui ts I I
IT~7/~~1
~Eleotri"al Permit
)state Surcharae
./
Total ChaPc;es
lITEM
I Furnace ETU'S
I Exhaust Hood
I Vent Fan
I WOodstove
I NO.
I
I
I
I
Pemt Issuance
Mechanical pemt
State Su:rcharac
Tn1:n1. CJrrrOP-R
-- ENCROACHMENT --
S8curi~ D:zposit
Storage
Maintenance
Permit
Total Charoes
Curbcu:
Sidewalk
Fe~e
Electrical Label
Mobi to Home
'~~Q.--~
- =,0)"
'fOTA!. AMOUNT DUE: ~
x
I
,t,)07<~fq
I
I
I
%11(Y\ Ocr .
1.0,"') ,~fS5jxJ
I ~~3.~'
'~Y-4~
-1 "2.,
. j
404~'
Value
FEE
CHARGE U I
\5.0 I
_I
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\~.O~I
ADPY
l7)n.OUI
I ~. 5'(21
Ifl~ ,~.
FEE
CHARGE ~ I
~~OUI
....
I~~ U~
~U,OU
I (, 'SO
I ?>I . snl.
FEE
CIIARGE
Type/Cor'.8t:
. Bedrooms:
I Eneroflll SO'..a>ceB
I I Heat
II
II
II
II
T.1I'06
I Lot Faces -
I Setbacks
I P. L. House' CaJ'aqe
INorth
lEast
ISouth
IWest
I.
I Access.
I
I
Wate:r Ynatp.7'
Range
Fireplace
Woodstove
Fees
.<
.' Building Value &
Permit
This pel"m'i.t ia gmnted on the express condition that the ea"id construction
shall, in all l'BBpCOtS, conform to the OrdinancB adopted by ths City of
Sp'Pin.gfieZd, including the Zoning Ordinance.. regulating the construction
and use of bui ldings.. and may be BUGpended or revoked at c:ny time upon via-
lation of any provisions of said Ordinances:
!Plan Check Fee: j
Date Paid: 1\\
IReceipt N: ~ \ ,
I Signed: I
Pe r m it
?J
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. Plumbing
No person ohaZZ construct, install, alter 01' change any new 01' existing
plumbing 01' drainage system in ~hole or in part, unless such porson is the
legal possessor> of a valid plwnber's license, except that a person may do
plumbing !Jerk to property which is owned~ leased or operated by the appli-
cant.
Electrical Permit
Where State LaLJ requires tJ..at th6 electrical work be done by an Electl'ical
Controctor~ the electrical portion of this permit shall not be valid until
the Zabel has been signed by the Electrical Contractor.
Mechanical Permit
h.
'f\/() V
I p}~A[;)"g) ~?tl"): &-
r I I!.AVE CAREFU&H EXAMINED the completed application for permit, and do
I hereby certify that all information hereon is true and corrcct~ and I
'oj) further certify that any ar.d all work perforrmed shall bs done in accor-
f . dance "nth the Ordinances of the City of Spri"llfie1.d, an<! the La>Js.of tho
, Jf State of Oregon pertaining to the work described herein~ and that NO OCCU-
PANCY will be rTtIde of any structure without permission of the Building Di-
vision. I further certify that cm.ly cont1'Q.Ctors and employees who ai"e in
compliance with ORS 701.055 will be used on this project
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Date
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